CMS Price Transparency Data

X-ray, hand

Facility: Mayers Memorial Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $228
Cash Discount Price: $280
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Mayers Memorial Hospital is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.56x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$280

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $280 (315%)

Insurance Median: $228 (256%)

Cash: $280 (315% of Medicare)

Ins. Median: $228 (256% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 256% of the Medicare baseline (a markup of 156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Shield Ca Va	$8 - $195	9%
Blue Shield Mcr Adv	$8 - $195	9%
Tricare	$8 - $205	9%
Arcadian Health Services-All Plans	$9 - $205	10%
Health Net Mcr Adv	$9 - $205	10%
Imperial Health Plan-All Plans	$10 - $232	11%
Medi-Cal	$25 - $36	28%
Partnership Hp-All Plans	$144	162%
Blue Cross Blue Shield	$186 - $266	209%
Cigna	$196 - $295	220%
Corvel Ppo-All Plans	$196 - $295	220%
Coventry/First Health-All Plans	$196 - $295	220%
Integrated Hp-All Plans	$196 - $295	220%
Interplan-All Plans	$196 - $295	220%
Health Net Prison	$201 - $224	226%
Blue Shield Ca Exchange	$239 - $266	269%
Blue Shield-All Other Plans	$266 - $295	299%
Hmn-All Plans	$266 - $295	299%
Multiplan Phcs-All Plans	$266 - $295	299%
Pfmc-All Plans	$266 - $295	299%
Superior Ca-All Plans	$266 - $295	299%
Health Net-All Other Plans	$278 - $309	313%
Pacificare-All Plans	$280 - $311	315%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $280.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mayers Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73130.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.